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Hepatitis C Virus Transmission in Hemodialysis Units Importance of Infection Control Practices and Aseptic Technique

Published online by Cambridge University Press:  02 January 2015

Nicola D. Thompson*
Affiliation:
Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Ryan T. Novak
Affiliation:
Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Deblina Datta
Affiliation:
Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Susanne Cotter
Affiliation:
Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Matthew J. Arduino
Affiliation:
Division of Healthcare Quality Promotion, National Center for Preparedness, Detection, and Control of Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA
Priti R. Patel
Affiliation:
Division of Healthcare Quality Promotion, National Center for Preparedness, Detection, and Control of Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA
Ian T. Williams
Affiliation:
Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Stephanie R. Bialek
Affiliation:
Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
*
1600 Clifton Road, NE, Mail Stop G-37, Atlanta, GA 30333 ([email protected])

Abstract

We investigated 4 hepatitis C virus (HCV) infection outbreaks at hemodialysis units to identify practices associated with transmission. Apparent failures to follow recommended infection control precautions resulted in patient-to-patient HCV transmission, through cross-contamination of the environment or intravenous medication vials. Fastidious attention to aseptic technique and infection control precautions are essential to prevent HCV transmission.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.Finelli, L, Miller, JT, Tokars, JI, Alter, MJ, Ardunio, MJ. National surveillance of dialysis-associated diseases in the United States, 2002. Semin Dial 2005;18:5261.Google Scholar
2.Simmonds, P, Holmes, EC, Cha, TA, et al.Classification of hepatitis C virus into six major genotypes and a series of subtypes by phylogenetic analysis of the NS-5 region. J Gen Virol 1993;74:23912399.CrossRefGoogle Scholar
3.Tugwell, BD, Patel, PR, Williams, IT, et al.Transmission of hepatitis C virus to several organ and tissue recipients from an antibody-negative donor. Ann Intern Med 2005;143:648655.Google Scholar
4.Henderson, DK. Managing occupational risks for hepatitis C transmission in the health care setting, 2003. Clin Microbiol Rev 2003;16:546568.CrossRefGoogle Scholar
5.Centers for Disease Control and Prevention (CDC). Recommendations for preventing transmission of infections among chronic hemodialysis patients. MMWR Recomm Rep 2001;50(RR-5):143.Google Scholar
6.CDC. Transmission of hepatitis B and C viruses in outpatient settings: New York, Oklahoma, and Nebraska, 2000-2002. MMWR Morb Mortal Wkly Rep 2003;52:901906.Google Scholar
7.Krause, G, Trepka, MJ, Whisenhunt, RS, et al.Nosocomial transmission of hepatitis C virus associated with the use of multidose saline vials. Infect Control Hosp Epidemiol 2003;24:122127.Google Scholar
8.Alter, MJ. Healthcare should not be a vehicle for transmission of hepatitis C virus. J Hepatol 2008;48:24.Google Scholar
9.CDC. Infection control requirements for dialysis facilities and clarification regarding guidance on parenteral medication vials. MMWR Morb Mortal Wkly Rep 2008;57:875876.Google Scholar
10.Siegel, JD, Rhinehart, E, Jackson, M, Chiarello, L, the Healthcare Infection Control Practices Advisory Committee, 2007. Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings, June 2007. Available at: http://www.cdc.gov/ncidod/dhqp/gl_isolation.html. Accessed December 31, 2008.Google Scholar